FDA Adverse Event Other Summary report: N

ENT PLASMA WAND

MDR report key: 2093601 · Received April 15, 2011

Report

Report Number
2951580-2011-00062
Event Type
Other
Date Received
April 15, 2011
Date of Event
January 1, 2006
Report Date
April 15, 2011
Manufacturer
ARTHROCARE CORP.
Product Code
GEI
PMA / PMN Number
K070374
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DATE OF EVENT IS UNK. PER JOURNAL ARTICLE, THE PROCEDURE WAS PERFORMED BETWEEN (B)(6) 2006 AND (B)(6) 2007. SINCE THE DEVICE WAS NOT RETURNED FOR INVESTIGATION AND A LOT NUMBER WAS NOT PROVIDED, A COMPLETE INVESTIGATION COULD NOT BE PERFORMED.

Description of Event or Problem · 1

PER JOURNAL ARTICLE, IT WAS REPORTED A PT HAD COMPLICATIONS FOLLOWING A TONSILLECTOMY PROCEDURE INVOLVING POSTOPERATIVE BLEEDING ON DAY 2 AND WAS HOSPITALIZED AND TREATED WITH A BLOOD TRANSFUSION (2 UNITS) AND KETOBEMIDONE HYDROCHLORIDE. AFTER 5 DAYS, THE PT WAS DISCHARGED IN GOOD CONDITION. THE PROCEDURE WAS PERFORMED BETWEEN (B)(6) 2006 AND (B)(6) 2007.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENT PLASMA WAND ELECTROSURGICAL CUTTING & COAGULATION DE GEI ARTHROCARE CORP.

Patients

Seq Age Sex Outcome Treatment
1 Other